Foothills Sports Medicine & Rehabilitation - Sun City, LLC

NPI #1558784660 in Surprise, Arizona

Provider Information

NPI Number: 1558784660
Entity Type: Organization
Organization Name: Foothills Sports Medicine & Rehabilitation - Sun City, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 24, 2014
Last Updated: Jan 24, 2014

Practice Location

Address: 13933 W GRAND AVE
Address 2: SUITE 301
City: Surprise
State: Arizona
ZIP Code: 85374-2435
Phone: (623) 474-3952

Authorized Official

Name: MICHAEL BASTEN
Title: OWNER
Phone: (480) 689-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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